Jun 09, · The best approach to facial trauma is to always be on surveillance of other underlying injuries and issues. Your brain considers your face to be . Radiographic Evaluation of Facial Trauma Stephanie Wythe, MS4 9/18/19 Diagnostic Radiology Reviewed By: Manickam Kumaravel MD. McGovern Medical School History • 36M • Level 1 trauma, assault w/ fists and feet, thrown from moving bus • GCS 3, intubated w/ sedation PTA.
Jan 14, · Radiographic evaluation of severe facial trauma requires some essential radiographic projections and, although CT with three-dimensional reformatting has become the imaging modality of choice in complex facial trauma, plain films are still widely used in the initial evaluation . General considerations 80% of all peripheral facial paralysis is Bell’s palsy Diagnosis of exclusion Other etiologies include Ramsay Hunt Syndrome (Herpes Zoster Oticus) Characterized by otalgia and varicella-like cutaneous lesions that involve the external ear, skin of the ear canal, or the soft palate Higher incidence of hearing loss or balance dysfunction than Bell’s.
Facial trauma is often recognized by swelling, bruising, or cuts. Signs of broken bones include bruising around the eyes, widening of the distance between the eyes, movement of the upper jaw when the head is stabilized, and bleeding from the nose, mouth, or ear. If the facial trauma was penetrating, examine the face, head, neck, chest and back for entrance or exit wounds. When looking at the patient's face, assess the symmetry of facial structures. 9.
Facial trauma sustained from gunshot wounds or explosions is associated with greater morbidity and higher mortality rates [ 22,23 ]. Associated head and cervical spine injuries are common in patients with significant facial trauma . The aim of the treatment of midfacial trauma is to provide the patient afflicted with this injury the best aesthetic and functional result with a single procedure, if one is indicated. Nasal fractures are a commonly encountered, and often isolated, form of facial fractures.
The facial skeleton should be palpated for signs of fractures. The dental trauma region should be inspected for fractures, abnormal tooth position, and tooth mobility. Identifying whether the injured tooth is a primary versus a permanent tooth is important in the management of certain types of dental injuries.